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) U RI-1— tN ELL- <br /> WEISS ASSocurrS d <br /> WATER SAMPLING DATA Well Name �'�- Date � 81 Time <br /> Job Name/Number � �lfl�!!.._ �c -1 -� 1� 't�S-O � InLtialsWAIll- <br /> ^^ <br /> yt _ <br /> Location <br /> WELL DATA: ,ll type (De ribe; MIA monitorin well) <br /> Depth to acct w _ ft (pu /st'at) ximum Dr wdown L'nit (MDL) r ft <br /> Well de (h ft ounded) tell. dept! ft (spec) <br /> Well ameter n. TOC !eight abo e ground Water elev./ f.t <br /> Vol! [e Evacuated. Pum d Ped Baile <br /> rime. Scop Formga-ilcanvora ions <br /> SL' t r - wc11 r is ft <br /> _ Total hr /min/ h 'pilot of avatar alar col in ft <br /> Total Eva aced / al. vol. in crL3 -xrxn <br /> e/ T.Gti gal/ft <br /> - Evacuati n RdCgpm •'Vy" casing - 0.163 Calif <br /> 1/ f V3" easing - 0,367 gaL t <br /> V;- casing - 0.653 g /ft <br /> Pump and type Bailer and type �' v� 5' casinggzt/ft <br /> f{OS f/ a CypC V6" casing - 1,i7 gal/ft <br /> - ! V©" casing - 2. gel/it <br /> Sam li�Port: R e gpm Glume al. <br /> P <br /> ;/V.= <br /> on/descri ion <br /> heig' of ware in c ing - _ ft; alllme •- gal. <br /> ion t drawdo Limi - 3 x initial vol <br /> Evacuatio at sampl g Po t - 1 x initial vol} e - a1. <br /> Total to be evact, t:ed - gal. <br /> Water olor: Oder: <br /> De.:q ptionof edime t and/or foreign mat er in sample: <br /> P nt of o ecti . <br /> epth to cter d ing pumping f time S pling �^ t time <br /> Pumped d y? After gal. ecavery Sate <br /> ADDITI AL CO S. LOCATION SKET , ENVIRONMEN Y CONDITIONS .e, weather, <br /> van Lung earby, problems wit equipment or pling, etc , pump on/off <br /> times, etc (over), <br /> CHERICALYDATA <br /> T mper ure 10C Thermom er # pecific Con etance umbos <br /> p;LLrs <br /> Calibration _ 4 7,0, 10.0 Cal ration Temp. <br /> COLLECTED: <br /> tile/ Filt ed Prese ative <br /> / Sample Cap (s e, u) (spe fy) <br /> ID No. (Specify) NG) (R Refrigerated) An ysis Lab <br /> / ml <br /> ml <br /> 7Z- ml <br /> ml <br /> — ml <br /> % <br /> ml <br /> Bottles: P - Polyethylene; /Y - Polypropylene C or B - Clear/Brown Class; <br /> 0 /Ocher (descri c) <br /> Additional Culp Codes: Py Polys,:al; V - VO /Teflon Sept M - Metal <br /> i <br /> moll lame <br />